AME Trust Claim File Uploader

AME Trust Claim File Uploader

Use this secure portal to upload both your AME Trust Claim Form and Explanation of Benefits (EOB)
Member Name*

First NameLast Name
Member ID*
Group Number*
Group Name
Email*
Email to send claim receipt confirmation
Date of Service*

MonthDayYear
Date you received treatment
Required Documents

Please attach the following documents using the file uploader below.

Failure to attach both necessary documents will cause your claim to be denied.

1. Completed AME Trust Claim Form

2. Explanation of Benefits (EOB) provided by the insurer for your Comprehensive Major Medical Plan, aka your Health Insurance
AME Trust Claim Form & Explanation of Benefits (EOB)*

Cancelof
Should be Empty:

Required Documents